Individual provider Active NPI

Elmer Gerald Brown Jr., FNP

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1669804647
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18339 Issued in SC
Practice address
108 Montgomery Dr
Anderson, SC 29621-3334
Phone
(864) 225-5597
Fax
(864) 516-8984
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 18339 SC
Family Nurse Practitioner 363LF0000X 18339 SC Primary

Addresses

Primary practice location

108 Montgomery Dr
Anderson, SC 29621-3334

Mailing address

108 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 561-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000759 SC Practitioner - Nurse Practitioner 2163650532 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Nov 14, 2018 Accepting new patients
Keowee Primary Care & Internal Medicine PC CurrentSince Jul 13, 2020 Accepting new patients
Superior Pain Management PC CurrentSince Apr 4, 2024 Accepting new patients
Trinity Family Practice Anderson LLC CurrentSince Dec 1, 2021 Accepting new patients
Anmed Health CurrentSince Mar 30, 2019 Accepting new patients
Anmed Health Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Anmed Health CurrentSince Mar 30, 2019 Accepting new patients
Cannon Memorial Hospital CurrentSince Oct 21, 2013 Accepting new patients
Anmed Health CurrentSince Nov 14, 2018 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Nurse Practitioner CurrentSince Mar 30, 2019 Accepting new patients
Medi Urgent Care Center Inc PastSince Mar 1, 2020 Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

4144 Clemson Blvd
Anderson, SC 29621
Phone (864) 224-3332

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

108 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-5597

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280

21 S Shirley Ave
Honea Path, SC 29654
Phone (864) 369-0552

331 Antreville Hwy
Iva, SC 29655
Phone (864) 348-6122

105 Liberty Blvd
Liberty, SC 29657
Phone (864) 843-8500

123 Wg Acker Dr
Ste B
Pickens, SC 29671
Phone (864) 878-2435

109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420

109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1669804647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-561-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-225-5597",
            "fax_number": "864-516-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELMER",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "18339",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.